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NPI Code Detail

MEDICARE: AUTUMN NICOLE SUTTON RN,BSN,NP

MEDICARE:   AUTUMN NICOLE SUTTON  RN,BSN,NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN220328GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN220328OTHERGAGEORGIA NURSING LICENSE

General Provider Information

NPI Number : 1831618388
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN NICOLE SUTTON RN,BSN,NP
Provider Business Mailing Address
First Line : 6 ALABAMA ST
Second Line :
City : CAVE SPRING
State : GA
Zip : 30124-2612
Country : US
Telephone Number : 678-310-3531
Fax Number :
Provider Business Practice Location Address
First Line : 6 ALABAMA ST
Second Line :
City : CAVE SPRING
State : GA
Zip : 30124-2612
Country : US
Telephone Number : 678-310-3531
Fax Number : 770-684-0903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2017
Last Update Date : 12/17/2025

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Directions to “ AUTUMN NICOLE SUTTON RN,BSN,NP” Practice Location

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